Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • Upgrade to the KevinMD enhanced author page

Would someone please explain to me how to reconcile different versions of reality?

Janet Tamaren, MD
Conditions and Diseases
November 17, 2021
Share
Tweet
Share

I traveled to Denver to California via train in mid-October. The train is aptly named the California Zephyr.

It is a 33-hour trip, across the high mountains of  Colorado — with magnificent views of rocky canyons flanking the Colorado River – and through the scrub deserts and subdued, pink-hued mountains of Utah and Nevada.

The trip was lovely. My husband and I had gotten our COVID booster shots two weeks prior. We paid for a roomette to limit possible COVID exposure in a coach car. Plus, we are too old to sleep comfortably in the chairs in coach. The meals in the dining car were splendid. The other passengers were all of them American. Since the borders were still closed, there were no foreign travelers on board. Our fellow passengers were good conversationalists. We had all been mostly sequestered at home for the preceding year and a half, so the opportunity to chat with new people was welcome.

California itself was quite flowery and largely pleasant. OK, the bomb cyclone and its attendant rainfall were on their way, making for some rainy afternoons that were less than ideal. But it was lovely seeing our son in Berkeley.

After a week, we returned to Denver, which welcomed us in its bright sunshiny way (even though it was late October by then). The stores were all open. Restaurants were open, with indoor seating.

With the trip cross-country and the open feel of Denver on our return, I was experiencing the world outside my doors as near-normal. There was a positive feeling of joy in picking up the pieces of what we left behind in the past 18 months. The joy of being able to travel again, to shop again, to meet with friends for dinner again.

Then the newspaper started telling us about a worrisome surge of COVID-19 due to the Delta variant. The governor of Colorado tells us that the ICUs are filling up again. The numbers in Denver are almost as high as they were during the height of the winter surge last December. The news is alarming—visions of closed schools, of another forced lockdown dance in my head.

This is confusing. The word I am searching for is “cognitive dissonance.” According to the Merriam-Webster dictionary, it means “psychological conflict resulting from incongruous beliefs and attitudes held simultaneously.”

Would someone please explain to me how to reconcile these two different versions of reality? Has the world returned to a semblance of normalcy, with the vaccines protecting most of us, or is the sky falling, with the virus overwhelming the 35 percent who are unvaccinated?

I ask the question this way because we are told that 80 percent of the people in the hospital are unvaccinated.

There is also the possibility that some of those who were fully vaccinated in the spring that their immunity is waning. That they really should get the booster shot to pump it up again. This is the path Israel has taken: boosters for everybody.

Governor Polis continues to warn us that the hospitals here in Colorado are approaching a breaking point and cannot continue to operate at this capacity.  And it isn’t just Colorado. Other states in the U.S. (and in Europe as well) are experiencing surges.

As we go into the winter, I suspect we will be seeing some restrictions – some attempts at increased masking and vaccine requirements. We can reasonably expect the numbers to get worse when cold weather keeps us confined indoors. I hope the schools can stay open. I hope we avoid any further lockdowns.   If anyone knows of another path forward, please share it with me. Cognitive dissonance is no fun. I need to settle my emotional life somewhere on the spectrum between boundless joy at the end of the pandemic versus the reality that it is still with us.

Janet Tamaren is a family physician and author of Yankee Doctor in the Bible Belt: A Memoir. She can be reached at her self-titled site, Dr. Janet Tamaren, and on Twitter @jtamaren.

Image credit: Shutterstock.com

Prev

A new approach to orthopedic post-operative pain [PODCAST]

November 17, 2021 Kevin 0
…
Next

A message from a physician treating COVID patients

November 18, 2021 Kevin 0
…

Tagged as: COVID-19, Infectious Disease

< Previous Post
A new approach to orthopedic post-operative pain [PODCAST]
Next Post >
A message from a physician treating COVID patients

ADVERTISEMENT

More by Janet Tamaren, MD

  • The unexpected truth behind these misdiagnosed medical cases

    Janet Tamaren, MD
  • The power of names: Superstition in the neonatal intensive care unit

    Janet Tamaren, MD
  • How a doctor’s clever approach restored a life—and a marriage

    Janet Tamaren, MD

Related Posts

  • The harsh reality of social distancing in rural America

    Meera Nagarajan
  • The sigh of relief on Match Day quickly changed into a sobering reality

    Steven Zhang, MD
  • Using the Avengers to explain how cancer treatments work

    Jennifer Lycette, MD
  • Those who try to solve health care don’t know the reality on the ground

    Peggy A. Rothbaum, PhD
  • Qualifying conditions for medical marijuana

    Patricia Frye
  • Settlements in the opioid cases need these non-negotiable conditions

    Rosanne Aulino, RN

More in Conditions and Diseases

  • Why seeing things doesn’t mean you’re losing your mind

    Dr. Chinelle Miller
  • The delayed brain injury symptoms I almost ignored

    Wick Davis
  • Why a malpractice lawsuit follows you after you win

    Tim Brocklehurst, MBA
  • Needing external validation is a strategy that fails

    Jack Tiller
  • Physician trust in leadership drives health care execution

    Dave Cummings, RN
  • 5 ways to calm fight or flight insomnia at bedtime

    Lindsay Anderson
  • Most Popular

  • Past Week

    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology
    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • Why most methylene blue cases came from anesthesia, not pills [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden link between childhood trauma and addiction

      Ronke Lawal, MBA | Conditions and Diseases
    • Branding a medical practice is not vanity, it is trust

      Ashley Gay | Physician Finance
    • How patient advocacy in the hospital can prevent a stroke

      Ashley Youngdale | Conditions and Diseases
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Medicare physician pay has fallen 33 percent since 2001

      Kayvan Haddadan, MD | Health Policy
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
  • Recent Posts

    • Why most methylene blue cases came from anesthesia, not pills [PODCAST]

      The Podcast by KevinMD | Podcast
    • Guidelines are not evidence: the research to practice gap

      Alissa Goodwin, MD | Physician
    • When the AI diagnosis arrives before the patient does

      Ganesh Asaithambi | Health Technology
    • Institutional betrayal in medicine nearly broke me

      Anonymous | Physician
    • The hidden tax driving up U.S. health care costs

      Kayvan Haddadan, MD | Health Policy
    • Character is not reputation: a medical school reflection

      Reed Popp | Medical Education

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology
    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • Why most methylene blue cases came from anesthesia, not pills [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden link between childhood trauma and addiction

      Ronke Lawal, MBA | Conditions and Diseases
    • Branding a medical practice is not vanity, it is trust

      Ashley Gay | Physician Finance
    • How patient advocacy in the hospital can prevent a stroke

      Ashley Youngdale | Conditions and Diseases
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Medicare physician pay has fallen 33 percent since 2001

      Kayvan Haddadan, MD | Health Policy
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
  • Recent Posts

    • Why most methylene blue cases came from anesthesia, not pills [PODCAST]

      The Podcast by KevinMD | Podcast
    • Guidelines are not evidence: the research to practice gap

      Alissa Goodwin, MD | Physician
    • When the AI diagnosis arrives before the patient does

      Ganesh Asaithambi | Health Technology
    • Institutional betrayal in medicine nearly broke me

      Anonymous | Physician
    • The hidden tax driving up U.S. health care costs

      Kayvan Haddadan, MD | Health Policy
    • Character is not reputation: a medical school reflection

      Reed Popp | Medical Education

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Would someone please explain to me how to reconcile different versions of reality?
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...